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Federal forms, ICRs, and supporting documents

Information Collection

National Outreach Campaign Needs Assessment for WIC State and Local Agencies

IC 267826 under ICR 202410-0584-002 · OMB 0584-0611.

Documents and Forms
Document Name
Document Type
Other-WIC Needs Assessment
Other-Needs Assessment Email Invitat
Other-Needs Assessment Instrument
Other-Needs Assessment Screenshots
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Outreach Campaign Needs Assessment for WIC State and Local Agencies
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WIC Needs Assessment CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_About_Final_5.8.24.docx Yes Yes Fillable Printable
Other-Needs Assessment Email Invitation CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Email_Invitation_Final_5.8.24.docx Yes Yes Fillable Fileable
Other-Needs Assessment Instrument CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Instrument_Final-5.8.24.docx Yes Yes Fillable Printable
Other-Needs Assessment Screenshots CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Screenshots_Final_5.8.24.docx Yes Yes Fillable Printable

Income Security Food and Nutrition Assistance

 

1,989 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,989 0 0 0 0 1,989
Annual IC Time Burden (Hours) 415 0 0 0 0 415
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Needs Assessment Human Subjects Determination CO3_5.2.1.2.7_WIC_SA_LA_Needs_Assessment_Human_Subjects_Determination_Final_5.8.24.pdf 05/21/2024
WIC_SA_LA Needs Assessment Fast Track Clearnce WIC_SA_LA_Needs_Assessment_FAST_TRACK_CLEARANCE_FORM_Final_5.8.24.docx 06/06/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.